powerpoint presentation · meeting purpose: connecting staff from aha affiliates, state health...
TRANSCRIPT
11/8/2017
1
Advancing Million Hearts®:
AHA and State Heart Disease and Stroke
Partners Working Together in West Virginia
August 23, 2017
9:00 AM to 3:00 PM EST
Four Points by Sheraton Charleston
600 Kanawha Boulevard East
Charleston, West Virginia 25301
Welcome & Overview of the Day
Julie Harvill, Operations Manager
Million Hearts® Collaboration
John Clymer, Executive Director
National Forum for Heart Disease and Stroke Prevention
Co-chair, Million Hearts® Collaboration
Meeting Purpose:Connecting staff from AHA Affiliates, state health departments and other state and local heart disease and stroke prevention partners to establish and engage in meaningful relationships around Million Hearts® efforts.
Meeting Outcomes:Attendees will have expanded their knowledge of evidence-based programs, collaboration strategies, tools, resources and connections to align programs and new initiatives that support Million Hearts®.
9:00 AM o Welcome and Overview of the day Julie Harvill & John Clymer
o Introductions John Bartkus
o Million Hearts® 2022 Robin Rinker
o Programs and Resources that Align with Million Hearts®
- West Virginia Bureau for Public Health Jessica Wright
- Office of Emergency Medical Services
- West Virginia WISEWOMAN
- Quality Insight
Melissa Raynes
Barbara Miller
Debbie L. Hennen
- AHA/ASA Christine Compton & Cynthia
Keely
11:30 AM o Lunch
12:15 PM o Afternoon Breakouts – Workgroups
2:10 PM o Workgroup Report-outs John Bartkus
2:50 PM o Evaluation and Feedback Whitney Garney
3:00 PM o Wrap up / adjourn April Wallace
Agenda
Expectations - Approach for the Day
John Bartkus, PMP, CPF
Principal Program Manager, Pensivia
Introductions:
1. Name
2. Organization
3. What excites you about your role
in heart disease and stroke
prevention?
(one sentence)
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Logistics – Preparing for Afternoon Workgroups
ACTION: Before lunch is over, please add your nameto the Flip-chart for the Workgroup you plan to attend/engage.
1COMMUNITY
HEALTH
WORKERS
2COMMUNITY
PHARMACISTS
/ PHYSICIANS
3HYPERTENSION
CONTROL
4MEDICATION
ADHERENCE
5TEAM BASED
CARE
Adam Baus
Scott Eubank
Whitney Garney
Julie Harvill
Krista Capehart
Christine Compton
Julia Schneider
Debbie Hennen
Julie Williams
Tim Lewis
Robin Rinker
Stephanie Moore
Cynthia Keeley
John Clymer
Mary Jo Garofoli
Jessica Wright,
Carla Van Wyck
Miriam Patanian
April WallaceA key focus for the day…
ALIGNMENT
One of the sheets in your packet is“My Alignment Notes”
If “Alignment” is a key goal of this meeting, then what would evidence of cultivating alignment be?
Opportunities I found to:* Align with My work* Align with Others work
Robin Rinker, MPH
Health Communications Specialist
Division for Heart Disease and Stroke Prevention
Centers for Disease Control and Prevention
Preventing 1 Million Heart Attacks and Strokes by 2022
• Aim: Prevent 1 million—or more—heart attacks and strokes in the next 5 years
• National initiative co-led by:• Centers for Disease Control and Prevention (CDC)
• Centers for Medicare & Medicaid Services (CMS)
• Partners across federal and state agencies and private organizations
Million Hearts® 2022
References
1. Benjamin EJ, Blaha MJ, Chiuve SE, Cushman M, Das SR, Deo R, et al. Heart Disease and Stroke Statistics-2017
Update: A Report From the American Heart Association. Circulation 2017;135(10):e146–603.
2. Kochanek KD, Arias E, Anderson RN. How did cause of death contribute to racial differences in life expectancy in
the United States in 2010? NCHS data brief, no 125. Hyattsville, MD: National Center for Health Statistics. 2013
• More than 1.5 million people in the U.S. suffer from heart attacks and strokes per year1
• More than 800,000 deaths per year from cardiovascular disease (CVD)1
• CVD costs the U.S. hundreds of billions of dollars per year1
• CVD is the greatest contributor to racial disparities in life expectancy2
Heart Disease and Stroke in the U.S.
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While CV deaths have been declining for the past 40 years, the reduction in these deaths has slowed.
Heart Disease and Stroke Trends1950-2015
Source – Mensah GA, Wei GS, Sorlie PD, et al. Decline in Cardiovascular Mortality – Possible
Causes and Implications. Circulation Research. 2017;120:366-380.
COMMUNITY
Million Hearts® 2022 Aim: Prevent 1 Million Heart Attacks and Strokes in 5 Years
Keeping People HealthyOptimizing Care
Priority Populations
*Aspirin use when appropriate, Blood pressure control, Cholesterol management, Smoking cessation
Improving Outcomes for Priority Populations
Blacks/African Americans
35- to 64-year-olds
People who have had a heart attack or stroke
People with mental illness or substance use disorders
Optimizing Care
Improve ABCS*
Increase Use of Cardiac Rehab
Engage Patients in
Heart-healthy Behaviors
Keeping People Healthy
Reduce Sodium Intake
Decrease Tobacco Use
Increase Physical Activity
Million Hearts® 2022Priorities
Goals Effective Public Health Strategies
Reduce
Sodium IntakeTarget: 20%
• Enhance consumers’ options for lower sodium foods
• Institute healthy food procurement and nutrition policies
Decrease
Tobacco UseTarget: 20%
• Enact smoke-free space policies that include e-cigarettes
• Use pricing approaches
• Conduct mass media campaigns
Increase
Physical Activity Target: 20%
(Reduction of inactivity)
• Create or enhance access to places for physical activity
• Design communities and streets that support physical activity
• Develop and promote peer support programs
Keeping People Healthy
*Aspirin use when appropriate, Blood pressure control, Cholesterol management, Smoking cessation
Goals Effective Health Care Strategies
Improve ABCS*Targets: 80%
High Performers Excel in the Use of…
• Teams—including pharmacists, nurses, community health
workers, and cardiac rehab professionals
• Technology—decision support, patient portals, e- and default
referrals, registries, and algorithms to find gaps in care
• Processes—treatment protocols; daily huddles; ABCS
scorecards; proactive outreach; finding patients with
undiagnosed high BP, high cholesterol, or tobacco use
• Patient and Family Supports—training in home blood
pressure monitoring; problem-solving in medication adherence;
counseling on nutrition, physical activity, tobacco use, risks of
particulate matter; referral to community-based physical activity
programs and cardiac rehab
Increase Use of
Cardiac RehabTarget: 70%
Engage Patients in
Heart-healthy
BehaviorsTargets: TBD
Optimizing Care
Priority
Population
Intervention Needs Strategies
Blacks/African
Americans
• Improving hypertension
control
• Targeted protocols
• Medication adherence strategies
35-64 year olds
• Improving HTN control
and statin use
• Decreasing physical
inactivity
• Targeted protocols
• Community-based program
enrollment
People who
have had a
heart attack or
stroke
• Increasing cardiac rehab
referral and participation
• Avoiding exposure to
particulate matter
• Automated referrals, hospital CR
liaisons, referrals to convenient
locations
• Air Quality Index tools
People with
mental illness
or substance
abuse
disorders
• Reducing tobacco use
• Integrating tobacco cessation into
behavioral health treatment
• Tobacco-free mental health and
substance use treatment
campuses
• Tailored quitline protocols
Improving Outcomes for Priority Populations
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• Action Guides—Hypertension control; Self-measured blood pressure monitoring (SMBP); Tobacco cessation; Medication adherence
• Protocols—Hypertension treatment; Tobacco cessation; Cholesterol management
• Tools—Hypertension prevalence estimator; ASCVD risk estimator
• Health IT
• Clinical Quality Measures
• Consumer Resources and Tools
Million Hearts®
Resources and Tools
Million Hearts® Hypertension Champion
in West Virginia
2014: Roane County Family Health Care,
Spencer, WV
Partner Opportunities: Hospitals Sample Actions to Consider
• Action: Make healthy food and beverage choices available to patients, visitors, and staff
• Resource: HHS/GSA Health and Sustainability Guidelines for Federal Concessions and Vending Operations
• Success Story: Sodium Reduction Community Program Los Angeles County Department of Public Health
• Action: Implement comprehensive smoke-free policies
• Resource: The Community Guide: Tobacco Use and Secondhand Smoke Exposure: Smoke-Free Policies
• Success Story: Communities Putting Prevention to Work: Tobacco Use Prevention and Control
• Action: Institute automatic referral of eligible patients to cardiac rehab
• Resource: Increasing Cardiac Rehabilitation Participation From 20% to 70%: A Road Map From the Million Hearts Cardiac Rehabilitation Collaborative
Partner Opportunities: EmployersSample Actions to Consider
• Action: Make healthy food and beverage choices available to all employees
• Resource: HHS/GSA Health and Sustainability Guidelines for Federal Concessions and Vending Operations
• Success Story: Sodium Reduction Community Program Los Angeles County Department of Public Health
• Action: Develop and support policies at worksites to encourage use of tobacco cessation services.
• Resource: The Community Guide: Tobacco Use and Secondhand Smoke Exposure: Quitline Interventions
• Success Story: North Carolina Division of Public Health, Tobacco Prevention and Control Branch: Expanding Comprehensive Coverage for Tobacco Cessation
• Action: Provide environmental supports for recreation or physical activity (e.g., onsite exercise facility, walking trails, bicycle racks).
• Resource: CDC Worksite Health ScoreCard
• Success Story: Bike Share Program Offers California State Employees Another Way to Be Active
Partner Opportunities: Clinical Care TeamsSample Actions to Consider
• Action: Use standardized treatment protocols for hypertension treatment, tobacco cessation, and cholesterol management
• Resource: CDC: Million Hearts® Protocols
• Success Story: 2014 Hypertension Control Champions: Large Health Systems
• Action: Implement self-measured blood pressure monitoring (SMBP) interventions with clinical support
• Resource: Million Hearts® Self-Measured Blood Pressure Monitoring: Action Steps for Clinicians
• Success Stories: 2013 Hypertension Control Champion: Nilesh V. Patel, MD; 2015 Hypertension Control Champion: Reliant Medical Group
• Action: Improve performance on Million Hearts® clinical quality measures on aspirin, BP control, cholesterol, smoking cessation, and cardiac rehab
• Resource: Million Hearts® ABCS measures
• Success Story: Association of State and Territorial Health Officials (ASTHO) Million Hearts
Minnesota
• Action: Leverage electronic health record (EHR) systems to excel in the ABCS
• Resource: Million Hearts® EHR Optimization Guides
• Success Story: Michigan Center for Effective IT Adoption
• Million Hearts®
eUpdate Newsletter
• Million Hearts® on Facebook and Twitter
• Million Hearts®
Website
• Million Hearts® for Clinicians Microsite
Stay Connected
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Available at https://tools.cdc.gov/medialibrary/index.aspx#/microsite/id/279017
• Features Million Hearts®
protocols, action guides, and other QI tools
• Syndicates LIVE Million Hearts®
on your website for your clinical audience
• Requires a small amount of HTML code—customizable by color and responsive to layouts and screen sizes
• Content is free, cleared, and continuously maintained by CDC
Million Hearts® for Clinicians Microsite
Q & A
Group Interaction
Break
Resume at 10:45
WEST VIRGINIA BUREAU FOR PUBLIC HEALTH
PROGRAMS AND RESOURCES
THAT ALIGN WITH MILLION HEARTS®
Jessica G. Wright, RN, MPH, CHES
Director, Health Promotion and Chronic Disease
Melissa Raynes
Director, Office of Emergency Medical Services
Barbara Miller, RN
WISEWOMAN
Bureau for Public HealthAdvancing Million Hearts
American Heart Association and Heart Disease and Stroke Prevention Partners Working Together in WV
Four Points by Sheraton CharlestonAugust 23, 2017
Million Hearts
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Updates from:▪ West Virginia Department of Health and
Human Resources (DHHR), Bureau for Public Health (BPH), Division of Health Promotion and Chronic Disease (HPCD)
▪ DHHR, BPH, Office of Emergency Medical Services
▪ WISEWOMAN
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Division of Health Promotion & Chronic Disease
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Review:
▪ Division’s mission, purpose and goals
▪ Hypertension and PrediabetesAwareness Project
▪ Synergy Project
▪ Team Based Care
▪ WV Well@Work campaign
Division of Health Promotion & Chronic Disease
▪ Mission: Advocating for chronic disease management and prevention
▪ Purpose: To create the systems, practices and environments to facilitate the prevention and management of chronic disease
▪ Goals:
▪ Reduce obesity
▪ Improve key chronic disease health indicators
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Hypertension & Prediabetes Awareness Project
Project Background
▪ Purpose: Increase patient awareness of prediabetes and hypertension in selected local health departments
▪ Tools: Centers for Disease Control and Prevention (CDC) Prediabetes Screening Test; Million Hearts Blood Pressure Stoplight Card; patient survey and prediabetes self-care booklet
▪ Locations: Randolph County Health Department, Grant County Health Department and Mineral County Health Department
▪ Duration: 1-3 months
▪ Goals: Awareness, education, referrals, establishment of a screening algorithm for health departments, and creation of a local health department hypertension/prediabetes awareness model
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Results
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If not previously diagnosed with high blood pressure, what color on the “Be One in a Million” card did your blood pressure
fall into? (n=647)
Results cont.
35
Results cont.
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Hypertension & Pre-diabetes Awareness Project
What's next:
▪ Continue to recruit those who have not participated▪ Continue to encourage health departments to formally engage
with the providers in the county ▪ Encourage connecting with diabetes prevention programs in
the community or beginning one in the health department▪ Support the American Heart Association (AHA) – Check Change
Control▪ Expand to other health care providers to utilize tools and make
referrals▪ Conduct Evaluation Assessment with those who have
participated over the last 4 years to identify practice changes, new or revised protocols, increased referrals and lessons learned
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Synergy Project
▪ Synergy TEAM: HPCD, West Virginia University (WVU) Office of Health Services Research, WVU School of Pharmacy Wigner Institute, West Virginia Academy of Family Physicians, and Quality Insights, Inc.
▪ Four focus areas for interventions: Mineral County, Mid-Ohio Valley (six counties), Greenbrier County and Putnam/Kanawha counties
▪ Enhancing EHR usage and providing t/a for treating patients with high blood pressure
▪ Utilize the Chronic Disease Electronic Management System (CDEMS) to identify undiagnosed hypertensive patients in health systems & assess blood pressure adherence
▪ Promote practice protocols for team based care
▪ Protocols for self management for high blood pressure
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Team Based Care
▪ 129 providers in Kanawha and Putnam counties received education modules specific for hypertension: medication adherence; self-management plans; high blood pressure control; team based care (Quality Insights partnership)
▪ 10 pharmacists trained in the American Pharmacists Association (APhA) Pharmacy-Based Cardiovascular Disease Certificate Program (WVU Sch of Pharmacy Wigner Institute)
▪ Pharmacy Collaborative Practice Agreements ▪ Training conducted August 18, 2017▪ Approximately 80 participants▪ Follow up for technical assistance
▪ Medicaid Health Home (diabetes, pre-diabetes, obesity, anxiety, depression)
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Well@Work WV
▪ Working with 84 worksites to assess health needs
▪ Develop a plan
▪ Utilize AHA resources:
▪ Check, Change, Control
▪ Food and Beverage Tool Kit
▪ American Diabetes Association – Stop Diabetes@Work
▪ National Diabetes Prevention Program
▪ 56 worksites have food service policies that include sodium reduction
▪ 243 visits to sodium reduction worksite page
▪ HPCD implementing Check, Change, Control as a staff activity
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Collaboration with Tobacco Prevention
HPCD also supports tobacco prevention initiatives including:
▪ Cessation
▪ Clean Indoor Air
▪ Youth Prevention
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Contact
Jessica Wright, RN, MPH, CHESDirector
Division of Health Promotion & Chronic DiseaseWest Virginia Department of Health and Human Resources
Bureau for Public [email protected]
(304) 356-4229www.chronicdisease.org
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Office of Emergency Medical Services
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Office of Emergency Medical Services
Mission: Ensure quality pre-hospital and emergency care within a changing environment
STEMI Initiatives:
Definition: ST-Elevation Myocardial Infarction (STEMI) is a very serious type of heart attack during which one of the heart's major arteries (one of the arteries that supplies oxygen and nutrient-rich blood to the heart muscle) is blocked. ST-segment elevation is an abnormality detected on the 12-lead ECG
Stroke Initiatives: Protocols, medical direction, proposed stroke rule, Stroke Advisory Council
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Cardiac Arrests
2014 = 2,981
2015 = 3,514
2016 = 3,675
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Primary Provider Impression
2016 2014 2015
427.50 – Cardiac Arrest
3,335 2,727 3,137
427.90 – Cardiac Rhythm Disturbance
5,044 4,419 5,237
786.50 – Chest Pain/Discomfort
24,024 21,958 24,131
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Secondary Provider Impression
2016 2014 2015
427.50 – Cardiac Arrest
413 310 470
427.90 – Cardiac Rhythm Disturbance
2,075 1,425 2,111
786.50 – Chest Pain/Discomfort
3,716 2,985 3,962
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EMT Treatment Protocol
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Contacts
Melissa RaynesDirector
Office of Emergency Medical ServicesWest Virginia Department of Health and Human Resources
Bureau for Public Health350 Capitol Street, Room 425
Charleston, WV 25301304-558-3956
Fax: 304-558-8379E-Mail: [email protected]
49School of Nursing
West Virginia WISEWOMAN
Barbara Miller, RN
WVU School of
Nursing/WISEWOMAN
School of Nursing
Mission
• Decrease risk of heart disease and stroke in low income women aged 30-64 by reducing cardiovascular risk factors through lifestyle changes
• Utilize evidence based programs that support lifestyle changes
School of Nursing
Aligning with Million Hearts
WISEWOMAN
• Each provider site has at least 1 Certified Tobacco Specialist on site
Million Hearts Target
• Changing the environment
• Reduce smoking
School of Nursing
ContinuedWISEWOMAN
• All participants are assessed for tobacco use and secondhand exposure
• Referrals for cessation are tracked
• Reimburse for CTT's time
Million Hearts Target
• Reduce smoking
School of Nursing
Continued
WISEWOMAN
• Utilize health coaching
• Developed a booklet “Take Charge of YOUR Health”that provides information regarding sodium and fats
• Partner with WVU Extension to provide theEating Healthy, BeingActive program
Million Hearts Target
• Changing environments
• Reduce sodium
• Eliminate trans fats
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School of Nursing
Optimizing Care in the Clinical Setting
• Hypertension Self-Management Module
• Pay for cholesterol testing
• Pay for TOPS
• Encourage physical activity
• Ongoing health coaching
• Blood Pressure Control
• Cholesterol Management
• Smoking CessationTreatment
School of Nursing
Addressing Tobacco Use in a BIG Way• WV WISEWOMAN partnered with the WV
Tobacco Program to bring the Mayo Clinic's Tobacco Treatment Certification Program to West Virginia twice. A total of 59 CertifiedTreatment Specialists (CTTS) completed the program
School of Nursing
Contact Information
• Ashli Cottrell 304-356-4394 [email protected]
• Robin Seabury 304-356-4415
• Barbara Miller 304-356-4447
Q & A
Group Interaction
QUALITY INSIGHT WORK
AND ALIGNMENT WITH MILLION HEARTS®
Debbie L. Hennen, RN
Project Coordinator, Quality Insights
An Overview
DEBBIE HENNEN, RNWV Project Coordinator
Improving Cardiac Health & Reducing
Cardiac Healthcare Disparities
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How Can We Help
• Quality Insights’ Quality Innovation Network offers a wealth of free evidence-based resources to improve cardiac health.
• We also convene Learning and Action Networks (LANS) to give healthcare providers, community organizations and patients the opportunity to share, learn and make a difference.
• Our efforts align with the Million Hearts® initiative that seeks to prevent one million heart attacks and strokes.
Collaboration with Million Hearts®
• Quality Insights works closely with Million Hearts® to engage clinicians and beneficiaries to improve cardiac health. Through this relationship, Dr. Janet Wright has recorded four webinars specifically for our QIN:– Million Hearts® Overview
– Million Hearts®: Hypertension Protocols
– Million Hearts® 2022: Getting to a Million is Possible
– Million Hearts® and Cardiac Rehab: Saving Lives, Restoring Health
Million Hearts®, Quality Insights & MIPS
• Improvement Activities– IA_PM_5: Population Management - Data Reporting/Benchmarking – IA_PM_6: Population Management - PFE Cardiac Toolkit
• Quality– 236 - Controlling High Blood Pressure– 204 - Ischemic Vascular Disease (IVD): Use of Aspirin or Another
Antiplatelet– 226 - Preventive Care & Screening: Tobacco Use: Screening & Cessation
Intervention (topped out for claims reporting)– 318b - Cholesterol Fasting (LDL-C) Test Performed AND Risk-Stratified
Fasting LDL-C
• Advancing Care Information– Patient-Generated Health Data - Advancing Care Information Objectives &
Measures
Promoting Blood Pressure Control Protocol
• Working with physician offices to promote the development of internal blood pressure (BP) control protocols– Accurate BP readings – 7 Simple Tips To get an Accurate BP Reading
– Million Hearts® BP Protocol template
– PDSA BP Control
– PDSA Smoking Cessation
Home Health and Million Hearts®
• The Home Health Quality Improvement (HHQI) National Campaign provides evidence-based tools and resources for the nation’s 13,000+ CMS-reporting home health agencies.
• This initiative intentionally aligns with Million Hearts’® goals of preventing heart attacks and strokes and includes National Quality Forum (NQF) / Physician Quality Reporting System (PQRS) ABCS Measures.
• HHQI created a nationwide Home Health Cardiovascular Data Registry (HHCDR).
Contact Us
• Practices with 15 or fewer clinicians:
– Email [email protected]
• Practices with 16 or more clinicians:
– Email [email protected]
This material was prepared by Quality Insights, the Medicare Quality Innovation Network-Quality Improvement Organization for West Virginia, Pennsylvania, Delaware, New Jersey and Louisiana under contract with the Centers for Medicare & Medicaid Services (CMS), an agency of the U.S. Department of Health and Human Services.
The contents presented do not necessarily reflect CMS policy. Publication number QI-B1-WV-081017
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Q & A
AHA/ASA PROGRAMS AND RESOURCES
THAT ALIGN WITH MILLION HEARTS®
Christine Compton, MPH
Government Relations Director
American Heart Association, Great Rivers Affiliate
Cynthia A. Keely, BA, RRT, LRTR
Director, Mission: Lifeline WV
American Heart Association
Overview of the American Heart Association and
Programs and Resources that align with Million Hearts®
Christine Compton, MPH
Government Relations Director for West Virginia
Cynthia Keely, BA, RRT
Director Quality and Systems Improvement
Mission
Building healthier lives, free of cardiovascular diseases and stroke.
Our 2020 Impact Goal
By 2020 to improve the cardiovascular health of all Americans by 20% while reducing
deaths from cardiovascular diseases and stroke by 20%.
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71
Building a Culture of Health
A culture in which people live, work, learn, play and pray in environments that support
healthy behaviors, timely quality care
and overall well-being.
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AHA and Million Hearts® Spotlight on West Virginia
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Advocacy• Policy Goals
Organized by category, based on scientific research and modified each year based on latest data and how many people impacted
• You’re the Cure Network WV Advocacy Committee
Grassroots advocacy network and statewide advocates
AHA and Million Hearts® Spotlight on West Virginia
Advocacy Priorities
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Tobacco-Free
• Reduce tobacco use in West Virginia
• Increasing price of tobacco products – 2016
• Defending our smoke-free protections
• Working to ensure the US Food and Drug Administration has the authority to regulate tobacco, including e-cigarettes
75
AHA and Million Hearts® Spotlight on West Virginia
Quality & Systems Improvement Get With The Guidelines & Mission: Lifeline
When medical professionals apply the most
up-to-date evidence-based treatment guidelines, patient outcomes improve.
76
AHA and Million Hearts® Spotlight on West Virginia
Quality & Systems Improvement PrioritiesGet With The Guidelines: AFIB, CAD, HF, Resus, Stroke
Patient Management Tools (PMT)
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• Real-time data collection • Point-of-care education materials• Integrated decision support• Arrival, discharge, and follow-up care
forms• Professional education opportunities
– workshops/webinars• Education
• AHA Quality Improvement Field Staff Support
• Recognition – national/local for hospital team achievement
• Center for Medicare and Medicaid (CMS) data submission*
• Performance feedback reporting for continuous QI
• Cost Effectiveness
AHA and Million Hearts® Spotlight on West Virginia
Quality & Systems Improvement PrioritiesGet With The Guidelines & Mission: Lifeline Quality Awards
• Cabell Huntington Hospital
• Camden Clark Medical Center
• Charleston Area Medical Center
• Davis Medical Center
• Ohio Valley Medical Center
• St. Mary’s Medical Center
• United Hospital Center
• Wheeling Hospital
• WVU Hospital78
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AHA and Million Hearts® Spotlight on West Virginia
Quality & Systems Improvement Priorities2017 Mission: Lifeline EMS Recognition
• Berkeley County Emergency Ambulance Authority
• Cabell County EMS
• Harrison County EMS
• Kanawha County Emergency Ambulance Authority
• Marion County Rescue Squad
• Martinsburg Fire Department
• Mon EMS
• Morgan County EMS
• Putnam County EMS
• Wheeling Fire Department 79
AHA and Million Hearts® Spotlight on West Virginia
Quality & Systems Improvement Priorities
Target: BP - Can Make A Difference• AHA and AMA partnered and launch Target: BP in 2015
– to improve blood pressure control and build a healthier nation.
• National initiative to reduce the number of Americans who have heart attacks and strokes by urging medical practices, health service organizations, and patients to prioritize blood pressure control.
• Based on the most current AHA guidelines, Target: BP supports physicians and care teams by offering access to the latest research, tools, and resources to reach and sustain blood pressure goal rates of less than 140/90 mmHg within the patients populations they serve.
• https://targetbp.org/80
Blood Pressure Strategies
Increase and sustain blood pressure control from 54% to over 70% through healthcare system participation in Target BP
IMPACT: 7-12.5M
Implement policy agenda to support increased hypertension control (home monitor coverage, Y-BP coverage, etc.)
Increase % of hypertensive patients that are self-monitoring through community and employer based SMBP programs (Y-BP and CCC)
IMPACT: 500K
(Complementary)
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Health Equity Priority Populations• Highest prevalence: Black Adults (19% of total), Hispanic Adults
(16% of total)• Impact on Health Disparities: Twin approach focus on FQHCs and
community clinics
33 MillionNumber of Adults 20+ with blood pressure >140/90 and/or BP medication use (NHANES 13-14)
Current Prevalence:
82
Blood Pressure Ecosystem
(Target: BP)
(Y-BP, CCC, etc.)
Policy AgendaMillion Hearts
Ad Council HypertensionAd Council Stroke AMA/AHA HCP Campaign
Nationally supported by Sanofi and Regeneron& supporting the 2020 AHA/ASA Impact Goal,
Check. Change. Control. Cholesterol ™ will empower all Americans to better manage their cholesterol
through the knowledge, tools, and resources neededto reduce their risk for cardiovascular disease.
• Increase adoption and utilization of cholesterol management guidelines through professional education and quality improvement programs.
• Increase understanding of and adherence to evidence-based treatment guidelines through public and patient education.
Objectives
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Tools and ResourcesOnline Tools• My Life Check• Heart Attack Risk Calculator• AHA’s Smoking Cessation Tools and Resources• AHA Healthy Workplace Food and Beverage Toolkit July 2016
Resources• Get With The Guidelines – www.heart.org/quality• Check.Change.Control
• Target: BP - https://targetbp.org/
Discussion
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1. Is there a program you were unaware of that you would like to explore further for implementation or application in the state?
2. On which topics would you like additional information?
3. Other questions?
Contact Information
87
♥ Christine Compton, MPH
Government Relations Director for West Virginia
American Heart Association
Office: (681) 313-2072
Cell: 304-545-1403
➢ Cynthia A. Keely, BA, RRT, LRTR
Director, Quality and Systems Improvement
American Heart Association
Office 681-313-2077
Cell: 304-549-0296
Q & A
CATERED LUNCH
Resume at 12:15
AFTERNOON BREAKOUTS /
FACILITATED DISCUSSIONS
John Bartkus, PMP, CPF
Principal Program Manager, Pensivia
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Defining
Executing
Workgroup Approach
Define the Destination
Plan the Route
Drive !
Use this Conversation as a Vehicle to Identify & Cultivate Alignment.
Afternoon Workgroup Meeting Rooms
Workgroups have until 2:00pm. At 2:10pm, Report-Outs Start!
1COMMUNITY
HEALTH
WORKERS
2COMMUNITY
PHARMACISTS
/ PHYSICIANS
3HYPERTENSION
CONTROL
4MEDICATION
ADHERENCE
5TEAM BASED
CARE
KANAWHA
ROOM
MOUNTAIN
STATE
ROOM
CAPITOL
CITY
C
CAPITOL
CITY
A
CAPITOL
CITY
B
Adam Baus
Scott Eubank
Whitney Garney
Julie Harvill
Krista Capehart
Christine Compton
Julia Schneider
Debbie Hennen
Julie Williams
Tim Lewis
Robin Rinker
Stephanie Moore
Cynthia Keeley
John Clymer
Mary Jo Garofoli
Jessica Wright,
Carla Van Wyck
Miriam Patanian
April Wallace
REPORTS FROM WORKGROUPS
AND PLANS FOR FOLLOW-UP
Start at 2:10 !
EVALUATION AND
FEEDBACK PROCESS
Whitney R. Garney
WRG Consulting
WRAP UP & ADJOURN
April Wallace
Program Initiatives Manager, Million Hearts® Collaboration